Acute Subdural Hemorrhage of a Convexity Meningioma in the Postpartum Period; Case Report and Literature Review

Bulletin of Emergency & Trauma
Mohammad Sadegh MasoudiChristie Lincoln

Abstract

New onset seizures in pregnancy or the postpartum period can be of great importance and denote various underlying pathologies. Eclampsia and cerebrovascular accidents are common, and brain tumors are uncommon causes of postpartum seizures among others. Acute presentation of brain tumors in pregnancy or the postpartum period is extremely rare. Meningiomas are the most common benign intracranial tumors. Although 1.3 to 2.4% of these benign tumors may bleed, acute presentation of them with hemorrhage is quite rare. Herein, we report a rare case of a 36-year-old lady who presented with severe headache, seizure, and loss of consciousness in the postpartum period, five days after delivery of a full-term baby. Primary emergency evaluation revealed an extra-axial lesion with subdural hemorrhage. A Decompressive craniectomy was performed, hematoma was evacuated, and the tumor was totally resected. Histopathologic evaluation was consistent with a fibroblastic meningioma (WHO grade I). She was discharged in good general condition. Our case highlights the significance of complete evaluation of patients with new-onset seizures in pregnancy or the postpartum period. Although uncommon, brain tumors in pregnancy can have potentially devastatin...Continue Reading

Citations

Oct 8, 2020·Surgical Neurology International·Daniela Matos, Ricardo Pereira
Oct 8, 2020·Surgical Neurology International·Masahiko ItaniYoshinori Akiyama
Nov 17, 2020·International Journal of Surgery Case Reports·Fatimah Abdulrahim AlghabbanMohammad Ghazi Abdoh
Nov 12, 2021·World Neurosurgery·Abdelsimar T Omar, Yves P Starreveld
Nov 26, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Luigi CarboneCarlo Alviggi

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